TUPELO SURGERY CENTER L.L.C. NPI 1164472031

NPI Information

NPI: 1164472031
Provider Name: TUPELO SURGERY CENTER, L.L.C.
Classification: Clinic/Center - 261QS0132X
Specialization: Ophthalmologic Surgery
Entity Type: Organization
CLIA Number: 25D1000721
Address: 3353 N GLOSTER ST
SUITE 300
TUPELO, MS
ZIP 38804
Phone: (662) 407-0334

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NPI Details

TUPELO SURGERY CENTER, L.L.C. is an ophthalmologic surgery clinic center in Tupelo, MS. TUPELO SURGERY CENTER, L.L.C. NPI is 1164472031. The provider is registered as an organization entity type.

The provider's business location address is:

3353 N GLOSTER ST
SUITE 300
TUPELO, MS
ZIP 38804-735
Phone: (662) 407-0334
Fax: (662) 840-5614

The provider's authorized official is Sondra Byrd .
The authorized official title is Business Office Manager and has the following contact phone number (662) 844-3555.

The CLIA number assigned to this NPI record is 25D1000721 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Injection, dexamethasone 9 percent, intraocular, 1 microgram (HCPCS:J1095)
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
Injection, bimatoprost, intracameral implant, 1 microgram (HCPCS:J7351)
Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
Laser repair to improve eye fluid flow (HCPCS:65855)
Destruction of lens tissue using laser (HCPCS:66710)
Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
Injection of medication into eye (HCPCS:66030)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	0502562	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B66205	MEDICARE UPIN	MISSISSIPPI
2	490000035	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
3	0770601	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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